Free Housing Court - Non Military Affidavit and Affidavit of Payments Made - Massachusetts

COMMONWEALTH OF MASSACHUSETTS __________________, SS: HOUSING COURT DEPARTMENT _______________________ DIVISION / / /SP-_ / / / / /

_____________________________________ Plaintiff/Landlord VS. ______________________________________ Defendant/Tenant NON MILITARY AFFIDAVIT AND AFFIDAVIT OF PAYMENTS MADE

1.

The defendant(s) in the above captioned case is/are not believed in the military service as defined in the Servicemember's Civil Relief Act, and that I know this to be true because: _________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

2.

The defendant(s) has/have PAID rent (or use and occupation) in the amount of
$_____________________ since the action was commenced.

3.

The defendant(s) still OWE rent (or use and occupation) in the amount of $_________________ through _______________________________________________. The defendant(s) still occupy/occupies the premises described in my Complaint or, if the premises are no longer occupied, the defendant(s) vacated the premises on _____________________________________________________________________.

4.

Subscribed and sworn under the pains and penalties of perjury, this ____________ day of ____________________, 200____.

_____________________________________________ Signature of Plaintiff or Plaintiff's Attorney